NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The client is admitted with left-sided congestive heart failure. In assessing the client for edema, the nurse should check the:
Correct Answer: B
Rationale: The neck veins should be assessed for distension in the client with congestive heart failure. Edema of the feet and hands does not indicate central circulatory overload, so answers A and C are incorrect. Edema of the sacrum is an indication of right-sided congestive heart failure, so answer D is incorrect.
Question 2 of 5
According to the ANA Code of Ethics for Nurses, professional nurses have an ethical obligation to:
Correct Answer: D
Rationale: The ANA Code of Ethics encompasses obligations to clients, the profession, and delivering high-quality care, ensuring comprehensive ethical practice. Coordinated Care
Question 3 of 5
Four clients have requested medication for pain. The licensed practical nurse should give priority to medicating:
Correct Answer: D
Rationale: Pain from a myocardial infarction indicates ongoing ischemia, requiring immediate attention to reduce cardiac demand. Fractured femur, laminectomy, and head injury pain, while serious, are less immediately life-threatening.
Question 4 of 5
The nurse is initiating a prescription for levothyroxine for a client with hypothyroidism. Which of the following actions would be most important for the nurse to take?
Correct Answer: B
Rationale: Levothyroxine is contraindicated in pregnancy without careful monitoring due to fetal risks, so confirming a negative pregnancy test is critical. Menstrual history is less urgent, mouth/throat assessment is unrelated, and teaching symptoms is important but secondary.
Question 5 of 5
A nurse who is a native English speaker admits an elderly Mexican-American migrant worker after an accident that occurred during work. To facilitate communication the nurse should initially
Correct Answer: D
Rationale: Assess the client's ability to speak English. Despite the cultural heritage, the nurse cannot make assumptions. Stereotyping is to be avoided. The nurse should assess the client's comfort and ability in speaking English.